Application value analysis of integrated insulation scheme combined with ERAS operating room nursing in renal stone surgery
一体化保温方案联合ERAS手术室护理在肾结石术中的应用价值分析

摘要

目的 探究将一体化热绝缘技术与加速康复外科（ERAS）手术室护理相结合应用于肾结石管理的可行性。方法 本研究选择了94例肾结石患者，时间跨度为2019年3月至2020年3月。这些患者接受经皮肾手术治疗，并被随机分为两组：对照组和观察组，每组各47例。对照组接受传统手术室护理，而观察组在ERAS手术室护理的基础上还实施了全面保温方案。我们比较了两组患者的体温波动情况、并发症发生率以及手术指标。结果 术前和麻醉后10分钟，两组患者的体温没有显著差异（P>0.05）。然而，在手术结束和术后30分钟时，观察组患者的体温明显低于对照组，并且这种差异在统计学上是有意义的（P<0.05）。此外，观察组患者发生并发症的比率以及与手术相关的指标均明显低于对照组，并且这些差异在统计学上是有意义的（P<0.05）。结论 在肾结石术中应用一体化保温方案联合ERAS手术室护理效果显著，可维持患者体温稳定，降低并发症发生风险，从而促进其快速恢复。

Abstract

Objective To explore the feasibility of combining integrated thermal insulation technology with accelerated rehabilitation surgery (ERAS) operating room care in renal stone management.
Methods This study selected 94 patients with kidney stones from March 2019 to March 2020. These patients underwent percutaneous renal surgery and were randomly divided into two groups: control and observation, with 47 patients in each group. The control group received traditional operating room care, while the observation group received a comprehensive thermal insulation program in addition to ERAS operating room care. We compared temperature fluctuations, complication rates, and surgical indicators between the two groups.
Results There was no significant difference in body temperature between the two groups before surgery and 10 minutes after anesthesia (P>0.05). However, at the end of surgery and 30 minutes after surgery, the body temperature of patients in the observation group was significantly lower than that of the control group, and the difference was statistically significant (P<0.05). In addition, the rate of complications and surgery-related indicators in the observation group were significantly lower than those in the control group, and these differences were statistically significant (P<0.05).
Conclusion   The application of integrated insulation scheme combined with ERAS operating room nursing in kidney stone surgery has a significant effect, can maintain patient temperature stability, reduce the risk of complications, and promote rapid recovery.